Individual
JAMES CAMPANILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
630 W BROADWAY, GLENDALE, CA 91204-1008
(818) 247-3395
Mailing address
343 N CHEVY CHASE DR UNIT 4, GLENDALE, CA 91206-5013
(818) 731-8836
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10600
CA
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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